Prep U CHAPTER 41 MANAGEMENT OF PT MUSCULOSKELETAL DISORDERS, MED SURGE BRUNNER 14TH EDITION

Question 4 of 10 Morton neuroma is exhibited by which clinical manifestation? Inflammation of the foot-supporting fascia Longitudinal arch of the foot is diminished High arm and a fixed equinus deformity Swelling of the third (lateral) branch of the median plantar nerve Submit Answer Exit quiz

Swelling of the third (lateral) branch of the median plantar nerve Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1168. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1168

Question 8 of 10 Morton neuroma is exhibited by which clinical manifestation? Diminishment of the longitudinal arch of the foot High arm and a fixed equinus deformity Swelling of the third (lateral) branch of the median plantar nerve Inflammation of the foot-supporting fascia Submit Answer Exit quiz

Swelling of the third (lateral) branch of the median plantar nerve Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1168. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1168

A health care provider diagnoses primary osteoporosis in a client who has lost bone mass. For which client is primary osteoporosis most common?

elderly postmenopausal woman Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Prevention, p. 1169.

To help minimize calcium loss from a hospitalized client's bones, the nurse should:

encourage the client to walk in the hall. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Prevention, p. 1169.

Question 9 of 10 The nurse is educating a client with low back pain on proper lifting techniques. The nurse recognizes that the education was effective when the client places the load close to the body. uses a narrow base of support. bends at the hips and tightens the abdominal muscles. reaches over the head with the arms fully extended. Submit Answer Exit quiz

places the load close to the body.

Question 10 of 10 A patient is having low back pain. What position can the nurse suggest to relieve this discomfort? Supine, with the bed flat and a firm mattress in place Supine, with the knees slightly flexed and the head of the bed elevated 30 degrees Prone, with a pillow under the shoulders High-Fowler's to allow for maximum hip flexion Submit Answer Exit quiz

upine, with the knees slightly flexed and the head of the bed elevated 30 degrees Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Nursing Management, p. 1162. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1162

Question 5 of 10 Which group is at the greatest risk for osteoporosis? Asian women Men African American women Caucasian women Submit Answer Exit quiz

Caucasian women Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1169. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1169

Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder?

Osteitis deformans Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1175. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1175

Question 4 of 5 The nurse is educating the patient with low back pain about the proper way to lift objects. What muscle should the nurse encourage the patient to maximize? Gastrocnemius Rectus abdominis Quadriceps Latissimus dorsi Submit Answer Exit quiz

Quadriceps

A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing?

Surgical debridement

Question 7 See full question 36s Report this Question A client with diabetes punctured his foot with a broken acorn in the yard. Within a week, the client developed osteomyelitis of the foot. The client was admitted for IV antibiotic therapy. How long does the nurse anticipate the client will receive IV antibiotics?

3 to 6 weeks Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018.

Which client would the nurse identify as having the greatest risk for osteoporosis?

A small-framed, thin 45-year-old white woman

Question 10 of 10 A patient is diagnosed with osteogenic sarcoma. What laboratory studies should the nurse monitor for the presence of elevation? Alkaline phosphatase Magnesium level Potassium level Troponin levels Submit Answer Exit quiz

Alkaline phosphatase Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Assessment and Diagnostic Findings, p. 1171. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1171

Question 1 of 5 A nurse is caring for an elderly female client with osteoporosis. When teaching the client, the nurse should include information about which major complication? Loss of estrogen Negative calcium balance Dowager's hump Bone fracture Submit Answer Exit quiz

Bone fracture

Question 6 of 10 What food can the nurse suggest to the client at risk for osteoporosis? Bananas Chicken Carrots Broccoli Submit Answer Exit quiz

Broccoli

Which of the following inhibits bone resorption and promotes bone formation

Calcitonin

Question 8 of 10 Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing bone mass density (BMD)? Calcitonin Teriparatide Raloxifene Vitamin D Submit Answer Exit quiz

Calcitonin Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1170. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1170

Question 4 of 10 When an infection is bloodborne, the manifestations include which symptom? Hypothermia Bradycardia Chills Hyperactivity Submit Answer Exit quiz

Chills Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1176. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1176

Question 9 of 10 The nurse is assessing the feet of a patient and observes an overgrowth of the horny layer of the epidermis. What does the nurse recognize this condition as? Bunion Corn Clawfoot Hammer Toe Submit Answer Exit quiz

Corn Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Corn, p. 1167. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1167

What term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia?

Dupuytren contracture Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1165.

Question 2 of 10 Which term refers to a disease of a nerve root? Involucrum Contracture Sequestrum Radiculopathy Submit Answer Exit quiz

Radiculopathy Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1161. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1161

Question 1 of 10 A client with Paget's disease comes to the hospital and reports difficulty urinating. The emergency department health care provider consults urology. What should the nurse suspect is the most likely cause of the client's urination problem? Renal calculi Urinary tract infection (UTI) Dehydration Benign prostatic hyperplasia Submit Answer Exit quiz

Renal calculi Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Assessment and Diagnostic Findings, p. 1175. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1175

A client diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. What is the best response by the nurse?

CTS is a neuropathy that is characterized by compression of the median nerve at the wrist."

Question 3 of 10 The client diagnosed with osteosarcoma is scheduled for a surgical amputation. Which nursing diagnosis would be a priority for this client compared with other surgical clients? Inadequate nutrition Disturbed body image Impaired physical mobility Risk for infection Submit Answer Exit quiz

Disturbed body image Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Nursing Management, p. 1181. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1181

Question 3 of 10 Which term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia? Hammertoe Callus Dupuytren contracture Hallux valgus Submit Answer Exit quiz

Dupuytren contracture Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1165. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1165

Question 2 of 10 The nurse notes that the client's left great toe deviates laterally. This finding would be recognized as which condition? Flatfoot Hammertoe Hallux valgus Pes cavus Submit Answer Exit quiz

Hallux valgus Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1167. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1167

Which should be included in the teaching plan for a client diagnosed with plantar fasciitis?

Management of plantar fasciitis includes stretching exercises. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1168.

A patient is diagnosed with osteomyelitis of the right leg. What signs and symptoms does the nurse recognize that are associated with this diagnosis? (Select all that apply.)

Pain Erythema Fever Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Clinical Manifestations, p. 1176. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1176

Which term refers to a disease of a nerve root?

Radiculopathy Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1161. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1161

Question 3 of 10 A client has Paget's disease. An appropriate nursing diagnosis for this client is: Risk for infection Delayed wound healing Risk for falls Fatigue Submit Answer Exit quiz

Risk for falls Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Medical Management, p. 1175. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1175

In chronic osteomyelitis, antibiotics are adjunctive therapy in which situation? Surgical debridement Vitamin supplements Wound irrigation Wound packing Submit Answer Exit quiz

Surgical debridement

Question 3 of 10 Morton neuroma is exhibited by which clinical manifestation? Inflammation of the foot-supporting fascia Longitudinal arch of the foot is diminished Swelling of the third (lateral) branch of the median plantar nerve High arm and a fixed equinus deformity Submit Answer Exit quiz

Swelling of the third (lateral) branch of the median plantar nerve Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1168. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1168

A client has been treated for migraine headaches for several months and comes to the clinic stating he is getting no better. The nurse is talking with the client and hears an audible click when the client is moving his jaw. What does the nurse suspect may be happening?

Temporomandibular disorder Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Clinical Manifestations, p. 1269. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1269

Question 5 of 10 A client with a musculoskeletal injury is instructed to alter the diet. The objective of altering the diet is to facilitate the absorption of calcium from food and supplements. Considering the food intake objective, which food item should the nurse encourage the client to include in the diet? Bananas Red meat Vitamin D-fortified milk Green vegetables Submit Answer Exit quiz

Vitamin D-fortified milk

Question 5 of 5 The nurse has educated a patient with low back pain about techniques to relieve the back pain and prevent further complications. What statement by the patient shows understanding of the education the nurse provided? "Instead of turning around to grasp an object, I will twist at the waist." "I will avoid prolonged sitting or walking." "I will bend at the waist when I am lifting objects from the floor." "I will lie prone with my legs slightly elevated." Submit Answer Exit quiz

se: "I will avoid prolonged sitting or walking."

A nurse notices a client lying on the floor at the bottom of the stairs. The client is alert and oriented and denies pain other than in the arm, which is swollen and appears deformed. After calling for help, what should the nurse do? Help the client walk to the nearest nurses' station. Immobilize the client's arm. Place the client in a sitting position. Raise the client's arm above the heart.

Immobilize the client's arm.

Question 8 of 10 A client has been treated for migraine headaches for several months and comes to the clinic stating he is getting no better. The nurse is talking with the client and hears an audible click when the client is moving his jaw. What does the nurse suspect may be happening? Loose teeth Dislocated jaw Trigeminal neuralgia Temporomandibular disorder Submit Answer Exit quiz

Temporomandibular disorder

Question 1 of 10 A nurse is teaching a client who was recently diagnosed with carpal tunnel syndrome. Which statement should the nurse include? "Surgery is the only sure way to manage this condition." "Using arm splints will prevent hyperflexion of the wrist." "This condition is associated with various sports." "Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." Submit Answer Exit quiz

"Ergonomic changes can be incorporated into your workday to reduce stress on your wrist." Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Carpal Tunnel Syndrome, p. 1164. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1164

What term refers to a flexion deformity caused by a slowly progressive contracture of the palmar fascia?

Dupuytren contracture Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1165. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1165

Question 9 of 10 Which is not a risk factor for osteoporosis? family history being postmenopausal small-framed, thin White or Asian women being male Submit Answer Exit quiz

being male Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, p. 1170. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1170 Add a Note

Morton neuroma is exhibited by which clinical manifestation? Longitudinal arch of the foot is diminished Swelling of the third (lateral) branch of the median plantar nerve Inflammation of the foot-supporting fascia High arm and a fixed equinus deformity Submit Answer Exit quiz

Swelling of the third (lateral) branch of the median plantar nerve

Question 9 of 10 A patient stepped on an acorn while walking barefoot in the backyard and developed an infection progressing to osteomyelitis. What microorganism does the nurse understand is most often the cause of the development of osteomyelitis? Proteus Salmonella Pseudomonas Staphylococcus aureus Submit Answer Exit quiz

Staphylococcus aureus Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Pathophysiology, p. 1176. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1176

Question 2 of 10 Instructions for the client with low back pain include that, when lifting, the client should use a narrow base of support. bend the knees and loosen the abdominal muscles. place the load away from the body. avoid overreaching. Submit Answer Exit quiz

avoid overreaching. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Chart 41-2, p. 1162. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1162

Question 1 of 10 A home care nurse assesses for disease complications in a client with bone cancer. Which laboratory value may indicate the presence of a disease complication? Sodium level of 110 mEq/L Calcium level of 11.6 mg/dl Magnesium level of 0.9 mg/dl Potassium level of 6.3 mEq/L Submit Answer Exit quiz

Calcium level of 11.6 mg/dl Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Assessment and Diagnostic Findings, pp. 1180-1181. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1180-1181

Question 7 of 10 A nurse is educating a client diagnosed with osteomalacia. Which statement by the nurse is appropriate? "You will need to decrease the amount of dairy products you consume." "You may need to be evaluated for an underlying cause, such as renal failure." "You will need to avoid foods high in phosphorus and vitamin D." "You will need to engage in vigorous exercise three times a week for 30 minutes." Submit Answer Exit quiz

"You may need to be evaluated for an underlying cause, such as renal failure." Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1175. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1175

Question 5 of 10 During a routine physical examination of a client, the nurse observes a flexion deformity of the promixal interphalangeal (PIP) joint of two toes on the right foot. How would the nurse document this finding? Bunion Mallet toe Hammer toe Hallux valgus Submit Answer Exit quiz

Hammer toe Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Hammer Toe, p. 1167. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1167

Health education for a woman over age 50 includes providing information about the importance of adequate amounts of calcium and vitamin D to prevent osteoporosis. Select the daily dosage of calcium and vitamin D that the nurse should recommend.

1,200 mg; 1,000 IU Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Gerontologic Considerations, p. 1169. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1169

Question 10 of 10 A client comes back to the clinic with a continued complaint of back pain. What time frame does the nurse understand constitutes "chronic pain"? 6 months 1 year 3 months 4 weeks Submit Answer Exit quiz

3 months Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Clinical Manifestations, p. 1161. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1161 Add a Note Take Another Quiz View Overall Performance

Question 10 of 10 Which of the following is the most important nursing diagnosis for an elderly patient diagnosed with osteoporosis? Acute pain related to fracture and muscle spasm Risk for constipation related to immobility Deficient knowledge about osteoporosis and the treatment regimen Risk for injury related to fractures due to osteoporosis Submit Answer Exit quiz

Risk for injury related to fractures due to osteoporosis

Question 1 of 10 During a routine physical examination on an older female client, a nurse notes that the client is 5 feet, 3/8 inches (1.6 m) tall. The client states, "How is that possible? I was always 5 feet and 1/2? (1.7 m) tall." Which statement is the best response by the nurse? "There may be some slight discrepancy between the measuring tools used." "The posture begins to stoop after middle age." "After menopause, the body's bone density declines, resulting in a gradual loss of height." "After age 40, height may show a gradual decrease as a result of spinal compression" Submit Answer Exit quiz

After menopause, the body's bone density declines, resulting in a gradual loss of height." Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Pathophysiology, p. 1170. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1170

Question 5 of 10 The nurse is preparing a client for a surgical procedure that will allow visualization of the extent of joint damage of the knee for a client with rheumatoid arthritis and also obtain a sample of synovial fluid. What procedure will the nurse prepare the client for? Needle aspiration Open reduction Arthroplasty Arthroscopy Submit Answer Exit quiz

Arthroscopy Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Arthroscopy, p. 1128. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1128

A home care nurse assesses for disease complications in a client with bone cancer. Which laboratory value may indicate the presence of a disease complication?

Calcium level of 11.6 mg/dl Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Assessment and Diagnostic Findings, pp. 1180-1181. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1180-1181

Question 8 of 10 Which of the following are clinical manifestations of impingement syndrome? Select all that apply. Limited movement Atrophy Muscle spasms Shoulder tenderness Pain Submit Answer Exit quiz

Correct response: Pain Shoulder tenderness Limited movement Muscle spasms Atrophy Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Impingement Syndrome, p. 1164. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1164

Question 4 of 10 Which is a strategy for lowering risk for osteoporosis? Smoking cessation Low initial bone mass Diet low in calcium and vitamin D Increased age Submit Answer Exit quiz

Smoking cessation Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1169. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1169

Question 2 of 10 A nurse is teaching a client about preventing osteoporosis. Which teaching point is correct? Obtaining an X-ray of the bones every 3 years is recommended to detect bone loss. Obtaining the recommended daily allowance of calcium requires taking a calcium supplement. The recommended daily allowance of calcium may be found in a wide variety of foods. To prevent fractures, the client should avoid strenuous exercise. Submit Answer Exit quiz

The recommended daily allowance of calcium may be found in a wide variety of foods. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Prevention, p. 1169. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1169 Add a Note

Question 10 of 10 A patient had hand surgery to correct a Dupuytren's contracture. What nursing intervention is a priority postoperatively? Changing the dressing Applying a cock-up splint and immobilization Having the patient exercise the fingers to avoid future contractures Performing hourly neurovascular assessments for the first 24 hours Submit Answer Exit quiz

erforming hourly neurovascular assessments for the first 24 hours Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Dupuytren Disease, p. 1165.

Question 5 of 10 A client has come to the clinic with foot pain. The physician has described the client's condition as a flexion deformity of the proximal interphalangeal joint. What is the name of this disorder? mallet toe Heberden's nodes hammer toe hallux valgus (bunion) Submit Answer Exit quiz

hammer toe Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1167. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1167

Question 1 of 10 A female client is at risk for developing osteoporosis. Which action will reduce the client's risk? Stopping estrogen therapy Initiating weight-bearing exercise routines Taking a 300-mg calcium supplement to meet dietary guidelines Living a sedentary lifestyle to reduce the incidence of injury

Initiating weight-bearing exercise routines

Question 8 of 10 Morton neuroma is exhibited by which clinical manifestation? High arm and a fixed equinus deformity Diminishment of the longitudinal arch of the foot Inflammation of the foot-supporting fascia Swelling of the third (lateral) branch of the median plantar nerve Submit Answer Exit quiz

Swelling of the third (lateral) branch of the median plantar nerve Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1168. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1168

On a visit to the family health care provider, a client is diagnosed with a bunion on the lateral side of the great toe at the metatarsophalangeal joint. Which statement should the nurse include in the teaching session? "Bunions may result from wearing shoes that are too big, causing friction when the shoes slip back and forth." "Bunions are congenital and can't be prevented." "Bunions are caused by a metabolic condition called gout." "Some bunions are congenital; others are caused by wearing shoes that are too short or narrow."

"Some bunions are congenital; others are caused by wearing shoes that are too short or narrow."

Question 9 of 10 The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given? Alendronate Teriparatide Raloxifene Denosumab Submit Answer Exit quiz

Alendronate Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Table 41-1, p. 1173. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1173

Question 7 of 10 Dupuytren contracture causes flexion of which area(s)? Index and middle fingers Thumb Fourth and fifth fingers Ring finger Submit Answer Exit quiz

Fourth and fifth fingers Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Figure 41-5, p. 1165. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1165

Question 4 of 10 A client is diagnosed with carpal tunnel syndrome. Which assessment findings would the nurse expect? Tenderness in the affected wrist A decrease in grasp strength Pain radiating down the dorsal surface of the forearm Inability to flex index and middle fingers Submit Answer Exit quiz

Inability to flex index and middle fingers Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Carpal Tunnel Syndrome, p. 1164. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1164

Question 3 of 5 A client with chronic osteomyelitis has undergone 6 weeks of antibiotic therapy. The wound appearance has not improved. What action would the nurse anticipate to promote healing? Surgical debridement Wound packing Vitamin supplements Wound irrigation Submit Answer Exit quiz

Surgical debridement

The nurse is caring for a client with a hip fracture. The physician orders the client to start taking a bisphosphonate. Which medication would the nurse document as given

Alendronate

Question 5 of 10 Which medication directly inhibits osteoclasts, thereby reducing bone loss and increasing BMD? Raloxifene (Evista) Vitamin D Calcitonin (Miacalcin) Teriparatide (Forteo) Submit Answer Exit quiz

Calcitonin (Miacalcin) Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1170. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1170

Question 4 of 10 Which of the following was formerly called a bunion? Ganglion Hallux valgus Plantar fasciitis Morton's neuroma Submit Answer Exit quiz

Hallux valgus Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Hallux Valgus, p. 1167. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1167

Question 6 of 10 Which area of the spinal column is subject to the greatest mechanical stress and degenerative changes? Thoracic Lower lumbar Cervical Upper lumbar Submit Answer Exit quiz

Lower lumbar Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Pathophysiology, p. 1160. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1160

Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder?

Paget disease Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1175. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1175

Question 6 of 10 A client with osteoporosis is prescribed a selective estrogen receptor modifier (SERM) as treatment. The nurse would identify which drug as belonging to this class? Tamoxifen (Nolvadex) Alendronate (Fosamax) Raloxifene (Evista) Calcium gluconate Submit Answer Exit quiz

Raloxifene (Evista) Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Table 41-1: Selected Osteoporosis Medications, p. 1173. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1173

Question 2 of 10 A nurse is caring for a client who's experiencing septic arthritis. This client has a history of immunosuppressive therapy and the immune system is currently depressed. Which assignment is the most appropriate for the nurse caring for this client? The nurse is caring for this client on the intensive care unit. The nurse caring for this client is also caring for two other immunosuppressed clients on the medical intensive care unit. The nurse caring for this client is also caring for four clients receiving chemotherapy for cancer treatment on the oncology floor. The nurse caring for this client is also caring for four other immunosuppressed clients on the medical floor. Submit Answer Exit quiz

The nurse is caring for this client on the intensive care unit. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Nursing Management, p. 1179. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1179

Question 7 of 10 A client with low back pain is being seen in the clinic. In planning care, which teaching point should the nurse include? Sleep on the stomach to alleviate pressure on the back. Avoid twisting and flexion activities. Use the large muscles of the leg when lifting items. A soft mattress is most supportive by conforming to the body. Submit Answer Exit quiz

Use the large muscles of the leg when lifting items. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Nursing Management, p. 1163. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1163

Question 8 of 10 A client with a musculoskeletal injury is instructed to increase dietary calcium. Which statement by the nurse is appropriate? "You need to increase the amount of phosphorus in your diet." "You need to increase the amount of noncitrus fruits in your diet." "You need to increase the amount of vitamin D in your diet." "You need to increase the amount of red meat in your diet." Submit Answer Exit quiz

You need to increase the amount of vitamin D in your diet." Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, p. 1172. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1172

Question 2 of 5 When describing malignant bone tumors to a group of students, which of the following would the instructor cite as the usual location? Proximal humerus Femur-hip area Wrist-hand junction Distal femur around the knee Submit Answer Exit quiz

Distal femur around the knee

Question 2 of 10 On a visit to the family health care provider, a client is diagnosed with a bunion on the lateral side of the great toe at the metatarsophalangeal joint. Which statement should the nurse include in the teaching session? "Bunions may result from wearing shoes that are too big, causing friction when the shoes slip back and forth." "Bunions are caused by a metabolic condition called gout." "Bunions are congenital and can't be prevented." "Some bunions are congenital; others are caused by wearing shoes that are too short or narrow." Submit Answer Exit quizQuestion 3 of 10 Localized rapid bone turnover, most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae, is characterized by which bone disorder? Osteoporosis Osteomyelitis Osteitis deformans Osteomalacia Submit Answer Exit quiz

Some bunions are congenital; others are caused by wearing shoes that are too short or narrow." Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Hallux Valgus, p. 1167.

Question 6 of 10 The nurse is assisting a client with removing shoes prior to an examination and observes that the client has a flexion deformity of several toes on both feet of the proximal interphalangeal (PIP) joints. What can the nurse encourage the client to do? Bind the toes so that they will straighten. Have surgery to fix them. Wear properly fitting shoes. Do active range of motion on the toes. Submit Answer Exit quiz

Wear properly fitting shoes. Explanation: Reference: Hinkle, J.L., & Cheever, K.H., Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 14th ed., Philadelphia, Wolters Kluwer, 2018, Chapter 41: Management of Patients With Musculoskeletal Disorders, Hammer Toe, p. 1167. Chapter 41: Management of Patients With Musculoskeletal Disorders - Page 1167